CHIP State Amendment Plans

Through this SPA, the state documents the state's compliance with the longstanding requirement to cover children's vaccines under current regulations at 42 CFR §§ 457.410(b)(2) and 457.520(b)(4), which requires states to cover age-appropriate vaccines in accordance with the recommendations of the ACIP without cost sharing.

Through this SPA, the state has demonstrated compliance with the Inflation Reduction Act (IRA) section 11405(b)(1) to cover adult vaccines, without cost sharing. Additionally, this SPA documents the state’s compliance with the longstanding requirement to cover children’s vaccines under current regulations at 42 CFR §§ 457.410(b)(2) and 457.520(b)(4), which requires states to cover age-appropriate vaccines in accordance with the recommendations of the ACIP without cost sharing.

Through this SPA, the state has demonstrated compliance with the Inflation Reduction Act (IRA) section 11405(b)(1) to cover adult vaccines, without cost sharing. Additionally, this SPA documents the state’s compliance with the longstanding requirement to cover children’s vaccines under current regulations at 42 CFR §§ 457.410(b)(2) and 457.520(b)(4), which requires states to cover age-appropriate vaccines in accordance with the recommendations of the ACIP without cost sharing.

This SPA updates the cost sharing and reimbursement for continuous glucose monitors (CGMs) and diabetic supplies and removes annual dollar limits for these services. Additionally, the SPA aligns cost sharing for CGMs and diabetic supplies provided by pharmacies and DME providers to be the same $5 copay, regardless of the provider type furnishing the services.

Through this SPA, the state updates the CHIP dental benchmark plan and benefits.

Through this SPA, the state adds residential treatment services to the state’s behavioral health benefits.

Through this SPA, the state documents the state's compliance with the longstanding requirement to cover children's vaccines under current regulations at 42 CFR §§ 457.410(b)(2) and 457.520(b)(4), which requires states to cover age-appropriate vaccines in accordance with the recommendations of the ACIP without cost sharing. Additionally, the state makes technical updates to the CHIP state plan.

Through this SPA, the state increases the upper income standards for the state’s title XXI funded Medicaid expansion from 170 to 200 percent of the federal poverty level. SPA ND-24-0101 is a companion to the Medicaid eligibility expansion SPA, ND-24-0007.

Through this SPA, the state provides 12 months of continuous eligibility (CE) coverage to individuals enrolled in its separate CHIP, pursuant to section 5112 of the Consolidated Appropriations Act, 2023 (CAA, 2023).

Through this SPA, the state documents the state’s compliance with the longstanding requirement to cover children’s vaccines under current regulations at 42 CFR §§ 457.410(b)(2) and 457.520(b)(4), which requires states to cover age-appropriate vaccines in accordance with the recommendations of the ACIP without cost sharing.